Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 01307 | MD |
NPI | 1417977760 |
---|---|
Provider Name | John J Murphy |
First Address | Ellicott City, MD 21043 |
Second Address | Ellicott City, MD 21043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 28/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134302500 | (05) | MD |
U82906 | (02) |